Individual
SARA PENNINGTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2085 HENRY TECKLENBURG DR STE 310, CHARLESTON, SC 29414-7713
(843) 266-5500
(843) 606-8007
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82303
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823032
—
SC
Enumeration date
09/23/2014
Last updated
12/18/2025
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